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VASCULAR & VEIN CENTER OF NEW JERSEY LLC
NPI 1396301974
Surgery - Vascular Surgery in Eatontown, NJ

Active since May 19, 2019CLIA 31D2167170 · Waiver
10 INDUSTRIAL WAY E STE 103, EATONTOWN, NJ 07724(848) 257-1900(848) 208-3445 Get Directions Write a Review

NPPES record last updated: July 9, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 9, 2019, May 22, 2019, May 19, 2019 (3 updates tracked since 2019).

About Vascular & Vein Center Of New Jersey Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VASCULAR & VEIN CENTER OF NEW JERSEY LLC (NPI 1396301974) is a healthcare organization registered as a vascular surgery in Eatontown, New Jersey and active in the NPI registry since May 2019. The organization holds a CLIA Waiver certificate valid through June 3, 2027 and lists Mohammad Nasir Khan, Owner, as its authorized official.

NPPES Registry Identity

NPI1396301974
Entity TypeOrganization
Primary Taxonomy2086S0129X
Legal Business NameVASCULAR & VEIN CENTER OF NEW JERSEY LLC
Location Address10 INDUSTRIAL WAY E STE 103Eatontown, NJ 07724-3332
Mailing Address10 Industrial Way E Ste 103Eatontown, NJ 07724-3332 · (848) 257-1900 · Fax (848) 208-3445
Phone(848) 257-1900
Fax(848) 208-3445
Organization SubpartNo
Authorized OfficialMohammad Nasir KhanOwner · (848) 257-1900
Enumeration DateMay 19, 2019
Last NPPES UpdateJuly 9, 20193 updates tracked since enumeration
✔ NPI 1396301974 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
Definition

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

10 INDUSTRIAL WAY E STE 103, Eatontown, NJ 07724
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 31D2167170

Vascular & Vein Center Of Nj, LLC · Eatontown, NJ
Active · expires Jun 3, 2027
CLIA Number31D2167170
Laboratory TypePhysician Office
Certificate Effective DateJune 4, 2025
Certificate Expiration DateJune 3, 2027
Laboratory DirectorMohammad U. Nasir-Khan
Laboratory Phone(848) 257-1900
Laboratory LocationVascular & Vein Center Of Nj, LLC10 Industrial Way East, Suite 103, Eatontown, NJ 07724
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VASCULAR & VEIN CENTER OF NJ LLC
Surgery (Vascular Surgery)
10 INDUSTRIAL WAY E STE 103
EATONTOWN, NJ 07724
Monmouth County (848) 257-1900

Frequently Asked Questions

What is VASCULAR & VEIN CENTER OF NEW JERSEY LLC's NPI number?

The NPI number assigned to this healthcare provider is 1396301974, enumerated as an "organization" on May 19, 2019.

Where is the provider located?

The provider is located at 10 INDUSTRIAL WAY E STE 103 EATONTOWN, NJ 07724 and the phone number is (848) 257-1900.

What is the provider's specialty?

Surgery with taxonomy code 2086S0129X and a focus in Vascular Surgery.